Gladys Emmanuelle Hollant, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41152 Issued in WI

Practice address

800 55TH St
Kenosha, WI 53140-3733

Phone

(262) 653-9286

Fax

(262) 653-9522

NPI assigned

Jul 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912928094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 40TH CT",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442982",
            "telephone_number": "262-553-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 55TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403733",
            "telephone_number": "262-653-9286",
            "fax_number": "262-653-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANT",
        "first_name": "GLADYS",
        "middle_name": "EMMANUELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "41152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Hofmeister, DDS
• Christelle Carol Holder
• Ronald R Holder, PSY.D., LPC-S
• Jessica L Holland, CRNA
• Stephanie Lynn Holland, COTA
• Nicholas Joseph Hollendonner, DC
• Ryan James Holmbeck, D.P.M.
• Anjuli Dominique Holmes
• Erin K Holtz, MSN, APNP, NNP-BC
• Gary D. Homeier, AG-APNP-BC PMC-ED

• Internal Medicine Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.